MEDICARE: RITE AID OF MICHIGAN INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	5301006818	MI
2	3336C0003X	Community/Retail Pharmacy	5301006818	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2358299	OTHER	MI	NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851312854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RITE AID OF MICHIGAN INC

Provider Business Mailing Address
First Line	:	200 NEWBERRY COMMONS
Second Line	:
City	:	ETTERS
State	:	PA
Zip	:	17319-9363
Country	:	US
Telephone Number	:	717-761-2633
Fax Number	:	717-975-8659

Provider Business Practice Location Address
First Line	:	13916 SOUTHWEST BAY SHORE DRIVE
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-6264
Country	:	US
Telephone Number	:	231-946-7400
Fax Number	:

Authorized Official
Title or Position	:	MANAGER OL ADJUDICATION
Name	:	JENNIFER ZOREK
Credential	:
Telephone Number	:	717-975-5937

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	04/21/2009

Similar Medicare Providers

1154611366 — MR. STEPHEN M BUCK R.PH.
Practice Location Address:

13916 S WEST BAY SHORE DR
TRAVERSE CITY, MI
49684-6264

Practice Phone: 231-946-7400
Practice Fax:

1063702751 — MR. MYRON GEORGE DIDYK REGISTERED RPH
Practice Location Address:

13916 S WEST BAY SHORE DR
TRAVERSE CITY, MI
49684-6264

Practice Phone: 231-946-7400
Practice Fax:

1336556430 — LORI S GEORGE
Practice Location Address:

13916 S WEST BAY SHORE DR
TRAVERSE CITY, MI
49684-6264

Practice Phone: 231-946-7400
Practice Fax:

1649851668 — JENNIFER L LAMB RN
Practice Location Address:

13916 S WEST BAY SHORE DR
TRAVERSE CITY, MI
49684-6264

Practice Phone: 231-946-7400
Practice Fax:

1205031408 — JILL CHRISTINE RICHARDSON
Practice Location Address:

1800 PALACE DR , SUITE C
GARDEN CITY, KS
67846-6264

Practice Phone: 913-952-4905
Practice Fax:

1336309376 — MR. ZACHARIAH O STUKE DPT
Practice Location Address:

1800 PALACE DR , SUITE C
GARDEN CITY, KS
67846-6264

Practice Phone: 620-271-0700
Practice Fax: 620-271-0703

Directions to “RITE AID OF MICHIGAN INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.